HIGH HOLIDAYS  
RESERVATION FORM 

Title:*  
First Name:*
Last Name:*
Address:*
City/State/ ZIP:*
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  I would like to join Chabad's High Holiday Services 2014-5775  
How Many:  Adults    Children 


Please check off the services you will be attending: 

Rosh Hashanah 
 Rosh Hashanah Eve   
Rosh Hashanah Day 1 
Rosh Hashanah Day 2  		     


Yom Kippur 
  Kol Nidrei Service (Yom Kippur Eve) 
  Yom Kippur Morning Services & Yizkor 
 Neila Service and Break The Fast Light Buffet
   

No Charge, All Are Welcome 

Please select how you heard about our High Holiday Services:  

_____________________________

 Donation Appreciated

I would like to contribute $360.00 toward High Holiday Programs

I would like to contribute  $770.00 toward the High Holidays Programs

I would like to contribute to the High Holiday Programs with another amount

Donation Amount: $
In Honor of:
In Memory of:
Card Number:
Card Type:
Exp. Date:  
Card Id Number  
Where's my Card ID Number?

 

If you have any questions or concerns please contact our office 
at (262) 563-9770 or email [email protected]